Critical Care Perspectives in Emergency Medicine

Critical Care Guys: The Minds Behind Critical Care Perspectives in Emergency Medicine. 4 Docs come ... more

Latest Episodes

July 18, 2022 00:27:41
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TAVR Complications You Need to Know!

Transcatheter aortic valve replacement is now more common than open surgical replacement and may be associated with lower mortality.  Given the significant increase in TAVRs it is imperative to be knowledgeable on the complications that may occur following TAVR and result in patients presenting to acute care settings for evaluation and treatment.  In this podcast we review an outstanding recent article on TAVR complications and discuss the things we need to know! Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...

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July 08, 2022 00:22:56
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Restrictive Fluid Resuscitation in Sepsis? The CLASSIC Trial

IVF administration is central to the management of patients with sepsis.  Though the Surviving Sepsis Campaign recently downgraded its recommendation on the amount of initial fluid administration, there are currently no recommendations on a fluid strategy for septic patients who continue to demonstrate hypoperfusion after the initial fluid bolus.  In this podcast we discuss the recently published CLASSIC Trial, which compared a restrictive fluid strategy to standard care in adult patients admitted to the ICU with sepsis. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...

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June 17, 2022 00:37:25
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Life-Threatening Asthma

Approximately 2 million patients present each year to EDs in the United States for acute asthma exacerbations.  Of these, up to 50,000 may require ICU admission for continued care and resuscitation.  The management of critically ill asthmatic patients can be fraught with peril.  In this podcast we discuss the assessment and management of patients presenting with a severe asthma exacerbation. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...

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May 19, 2022 00:22:48
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Refractory OHCA - Does ECPR and Early Angiography Improve Outcome?

In a recent podcast we reviewed the ARREST Trial, which demonstrated significant improvement in survival among OHCA patients at a single center randomized to ECPR and early coronary angiography upon arrival.  In this podcast we discuss the latest trial to investigate whether a bundle of early transport, ECPR, and coronary angiography improves favorable neurologic survival in patients with refractory OHCA. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...

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April 20, 2022 00:20:58
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Low-Tidal Volume Ventilation in the ED - Does it Make a Difference?

Though low-tidal volume ventilation has been shown to decreased mortality in patients with ARDS, the use of these settings in mechanically ventilated ED patients has been variable.  In this podcast, we discuss a recent systematic review that examined the effect of low-tidal volume ventilation in the ED on clinical outcomes including mortality, length of stay, occurrence of ARDS, and duration of mechanical ventilation. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...

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March 31, 2022 00:20:50
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The PLUS Study

Though we’ve discussed the use of balanced solutions in the resuscitation of critically ill patients numerous times on CCPEM, the literature remains controversial with mixed results as to which IVFs are superior.  In this podcast, we discuss the latest randomized trial, the PLUS Study, comparing the use of balanced multielectrolyte solution and 0.9% normal saline. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...

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